Patterns of postpartum depot medroxyprogesterone administration among low-income mothers

Ann M. Dozier, Alice Nelson, Elizabeth A. Brownell, Cynthia R. Howard, Ruth A. Lawrence

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Background: Depot medroxyprogesterone acetate (DMPA) is often administered immediately postpartum to reduce the risk of short-interval repeat or unintended pregnancies, but little is known about the actual patterns of postpartum DMPA use. This article examines the patterns of DMPA administered among low-income new mothers in an upstate New York State community. Methods: Mothers attending urban pediatric practices (births 2009-2011) completed a mailed survey approximately 5 months after delivery. Among 83 survey items were questions about breastfeeding and timing of DMPA receipt. Results: Unintended pregnancy was reported by 48.8% of the subjects. Their deliveries occurred across four local hospitals. Among the 31.3% of subjects who received postpartum DMPA, 62.6% received it prior to hospital discharge. Those receiving in-hospital DMPA (n=127) were significantly more likely than other mothers to be black, older, urban dwelling, non-high school graduates, multiparous, and planning to formula feed. Administration patterns differed by hospital. Conclusions: This study of postpartum DMPA administration among a convenience sample of low-income mothers demonstrated rates of 26% overall, but there was between-hospital variability. Additional study may identify approaches to ensure timely administration to appropriate candidates.

Original languageEnglish (US)
Pages (from-to)224-230
Number of pages7
JournalJournal of Women's Health
Volume23
Issue number3
DOIs
StatePublished - Mar 1 2014

ASJC Scopus subject areas

  • Medicine(all)

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